OMB control number

Electronic Diversity Visa Entry Form

OMB 1405-0153 · STATE/AFA.

OMB 1405-0153

The Department of State utilizes the Electronic Diversity Visa Lottery (EDV) Entry Form to elicit information necessary to ascertain the applicability of the legal provisions of the diversity immigrant visa program. The foreign nationals complete the electronic entry forms and then applications are randomly selected for further participation in the program.

The latest form for Electronic Diversity Visa Entry Form expires 2026-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Electronic Diversity Visa Entry Form Form and Instruction

All Historical Document Collections

202603-1405-003	Revision of a currently approved collection	2026-03-17
202603-1405-002 Improperly submitted and continue	Revision of a currently approved collection	2026-03-12
202508-1405-004	Revision of a currently approved collection	2025-08-05
202508-1405-003 Improperly submitted and continue	Revision of a currently approved collection	2025-08-05
202205-1405-001 Approved without change	Revision of a currently approved collection	2022-05-23
201908-1405-006 Preapproved	Revision of a currently approved collection	2019-08-29
201907-1405-002 Withdrawn and continue	Revision of a currently approved collection	2019-07-03
201906-1405-001 Withdrawn and continue	Revision of a currently approved collection	2019-06-07
201707-1405-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-07-25
201608-1405-001 Approved without change	Extension without change of a currently approved collection	2016-08-03
201307-1405-007 Approved with change	Extension without change of a currently approved collection	2013-07-16
201005-1405-001 Approved without change	Extension without change of a currently approved collection	2010-05-06
200705-1405-001 Approved without change	Extension without change of a currently approved collection	2007-05-14
200704-1405-001 Withdrawn and continue	Extension without change of a currently approved collection	2007-04-09
200608-1405-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2006-08-10
200401-1405-001 Approved without change	Extension without change of a currently approved collection	2004-01-28
200310-1405-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-10-30
200309-1405-006 Approved without change	New collection (Request for a new OMB Control Number)	2003-09-30